MEDICARE: LAWRENCE E CURRIE PHD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	531057	WI
2	103TC0700X	Clinical Psychologist	531057	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	344423582E01	OTHER	WI	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194835140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAWRENCE E CURRIE PHD SC

Provider Business Mailing Address
First Line	:	PO BOX 240164
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53224-9008
Country	:	US
Telephone Number	:	414-354-3089
Fax Number	:

Provider Business Practice Location Address
First Line	:	6815 W CAPITOL DR STE 203
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2056
Country	:	US
Telephone Number	:	414-354-3809
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	LAWRENCE E CURRIE
Credential	:	PHD
Telephone Number	:	414-354-3089

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/17/2020

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Directions to “LAWRENCE E CURRIE PHD SC ” Practice Location

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